Mostaqim Kenza, Lahousse Astrid, Ubaghs Simone, Timmermans Annick, Deliens Tom, Vanhoeij Marian, Fontaine Christel, de Jonge Eric, Van Hoecke Jan, Polastro Laura, Lamotte Michel, Cuesta-Vargas Antonio Ignacio, Huysmans Eva, Nijs Jo
Pain in Motion Research Group (PAIN), Department of Physiotherapy, Human Physiology and Anatomy, Faculty of Physical Education and Physiotherapy, Vrije Universiteit Brussel, Laarbeeklaan 103, 1090 Brussels, Belgium.
Research Foundation-Flanders (FWO), Leuvensesteenweg 38, 1000 Brussels, Belgium.
J Clin Med. 2024 Dec 4;13(23):7393. doi: 10.3390/jcm13237393.
Breast cancer is the most common malignancy among women worldwide, and advances in early detection and treatment have significantly increased survival rates. However, people living beyond breast cancer often suffer from late sequelae, negatively impacting their quality of life. Prehabilitation, focusing on the period prior to surgery, is a unique opportunity to enhance oncology care by preparing patients for the upcoming oncological treatment and rehabilitation. This article provides a clinical perspective on a patient-centered teleprehabilitation program tailored to individuals undergoing primary breast cancer surgery. The proposed multimodal program includes three key components: patient education, stress management, and physical activity promotion. Additionally, motivational interviewing is used to tailor counseling to individual needs. The proposed approach aims to bridge the gap between diagnosis and oncological treatment and provides a holistic preparation for surgery and postoperative rehabilitation in breast cancer patients. The aim of this preparation pertains to improving mental and physical resilience. By integrating current evidence and patient-centered practices, this article highlights the potential for teleprehabilitation to transform clinical care for breast cancer patients, addressing both logistical challenges and holistic well-being.
乳腺癌是全球女性中最常见的恶性肿瘤，早期检测和治疗的进展显著提高了生存率。然而，乳腺癌幸存者往往会遭受晚期后遗症的折磨，对他们的生活质量产生负面影响。术前康复，专注于手术前的时期，是一个通过让患者为即将到来的肿瘤治疗和康复做好准备来加强肿瘤护理的独特机会。本文提供了一个以患者为中心的远程术前康复计划的临床视角，该计划是为接受原发性乳腺癌手术的个体量身定制的。拟议的多模式计划包括三个关键组成部分：患者教育、压力管理和身体活动促进。此外，动机性访谈用于根据个体需求调整咨询。拟议的方法旨在弥合诊断与肿瘤治疗之间的差距，并为乳腺癌患者的手术和术后康复提供全面准备。这种准备的目的是提高心理和身体的恢复力。通过整合当前证据和以患者为中心的实践，本文强调了远程术前康复改变乳腺癌患者临床护理的潜力，解决了后勤挑战和整体健康问题。
